중년여성의 규칙적인 자궁경부암 검진 이행관련 요인 = A Study on Regular Cervical cancer Screening Behavior among Middle-aged Women

다국어 초록 (Multilingual Abstract)

To identify the status of regular cervical cancer screening practices among middle-aged women, the associations between regular practice and research factors, and the predictive model and factors effecting such behavior was studied.Two hundred women, aged 40 to 60, were selected by convenience in one urban area of Seoul. They were asked about their regular attendance for screening, knowledge of cancer and screening, health belief, health self-determination index and certain personal factors. Approximately 54.5% of the women had periodic screening tests every 6 months to 2 years. Their knowledge of cervical cancer and health belief were at the medium level of each scale, but their health self-determination scores (HSDI) were low. Some influencing factors, and their cancer odds ratio were identified through univariate regression analysis. These variables were included in a predictive model, and this model proved to have enough fit and classification power (83.5%). In this model, the financial state, self-belief and self-determination scores were found to be significant. Conclusion: Middle-age women's intrinsic motivation for healthy behavior was found to be low in those who felt to be in a poor financial state, had higher perceived barriers, lower perceived benefits and a lower prevalence of undergoing regular screening test.

참고문헌 (Reference)

1 "쫴 gets screened for cervical and breast cancer" 48 : 1177-81, 1988

2 "self-determination in personality J of Res in Personality" 109-134, 1985

3 "Who is nor screened and Why" 885-91, 1991

4 "The papanicolaou test for cervical cancer detection" 261 (261): 737-43, 1989

5 "The health self-determinism index for children" 237-246, 1990

6 "Social and behavioral predictors of cervical cancer screening practices among korean women" 22 (22): 1823-36, 2001

7 "Reliability and validity of breast cancer screening belief scale in African American women" 46 (46): 331-337, 1997

8 "Predictors of papanicolaou smear use among America Samoan women" 16 : 320-4, 2001

9 "Predictors of cervical cancer screening test acceptance in one rural women" 17 (17): 1442-9, 1996

10 "Obstetric and Gynecology" Goon-Ja publishing company 464-470, 1999

11 "Intrinsic motivation and self=-determination in human behavior perspectives in social psychology" Plenum Press 1985

12 "Guide to clinical preventive services" 105-117, 1996

13 "Factors related to continuous participation in the Pap smear screening among Korean women:using a structural model" 30 (30): 160-170, 2000

14 "Factors associated with cervical cancer screening in Busan, 54th Autumn Conference Proceeding of the Korean Society for Preventive Medicine" 2002

15 "Factor associated with breast and cervical cancer screening practices among Vietnamese American women" 21 (21): 510-521, 1997

16 "Effect of organized screening on the risk of cervical cancer Evaluation of screening activity in Iceland 1991" 563-70, 1993

17 "Early detection of cervical cancer" 52 (52): 375-6, 2002,Nov-Dec

18 "Development of goal and strategy for health promotion of Seoul citizen" Korea Institute for Health and Social Affairs 1998

19 "Clinician's handbook of preventive services Put prevention into practice" 1994195-200

20 "Cancer patient of national health insurance 25 millions in last year and cost 6400 billions, unpublished manuscripts" National health insurance corporation 2002

21 "Breast and uterine cervical cancer screening rate in KMCC. 53th Autumn Conference Proceeding of the Korean Society for Preventive Medicine" 2001

22 "Annual report of the central cancer registry in Korea" Ministry of health and welfare 2000

23 "An interaction model of client health behavior theoretical prescription for nursing" 41-56, 1982

24 "A study on cervical cancer screening among married women.Unpublished master thesis" The Seoul National University of Korea 2002

25 "A model for health promoting behaviors in late-middle aged women." The Seoul National University of Korea 1995

26 "2002 Yearbook of health and welfare statistics" Ministry of health and welfare 2002